Anti-infectives Screening Core In Vitro Assay Order Form * indicates required field. To request an in vitro assay from the Anti-infectives Screening Core, please complete and submit the form below. A staff member will reply to your request within two business days. First Name: Last Name: Email Address: Phone Number: Address: Number of Compounds: Pathogen Requested: - Select -Leishmania amazonensis (axenic amastigotes)Leishmania amazonensis (macrophage infection)Plasmodium falciparum (strain 3D7)Trypanosoma brucei spp. (bloodstream stage)Trypanosoma cruzi infectin in 3T3 fibroblasts Type of Assay: - Select -Screen at a single doseIC50TC50IC50 and TC50 Starting Concentration (Typically 50 µm): Soluble in phosphate-buffered saline or dimethyl sulfoxide (if known): Storage temperature: Specific comments, requests, or questions: Asterisk indicates which fields are required.